| NPI | 1013409077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MIRACLE Managing Owner 972-953-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74127) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |